Example of a questionnaire without points

This example of a questionnaire illustrates the use of question texts having buttons specified with no associated points (or score).

An almost similar example includes points.

A question to be answered with optional text is included in both examples.

Question no. 1: Your age (how old are you?):
under 20 years
between 20 og 50
> 50 years

Question no. 2: How do you feel about rock music?
I love it!
once in a while I like to listen to it
it's horrible!
what is it? (never heard of it)

Question no. 3: Your opinion on this questionnaire survey:
When ready click check box and then button:    
Click Print button in browser menu bar (at top of window)for a copy on paper of this form including your answers.
Your identification (optional, for print only)